Final Report: NAHRS/MLA Magnet Coordinator Survey, July 2007  Pamela Sherwill-Navarro, Co-Chair, NAHRS Task Force to Create Standards for Nursing Information Resources and Services in Health Care Settings  Margaret (Peg) Allen, Chair, NAHRS Research Committee April 28, 2008

Goals and process Goal: To assess library resources and services at ANCC (American Nurses Credentialing Center) certified Magnet facilities. –Secondary goal: enhance Magnet coordinator awareness of what librarians can contribute to the Magnet journey Process –Developed by NAHRS Task Force to Create Standards for Nursing Information Resources and Services in Health Care Settings and Research Committee, using Survey Monkey –Approved by MLA Board, with additional questions on role and value of librarian –Sent to Magnet coordinators via ANCC list with cover message encouraging Magnet coordinators to get librarian help with completing survey 1.Richard Barry, ANA Librarian (ANCC is unit of American Nurses Association) facilitated use of Magnet coordinator list 2.Follow-up mailing to Magnet coordinator list 3.DOCUSER database used to identify librarians at Magnet hospitals with no response, sending them the final request 2

Responses 251 ANCC Magnet certified hospitals 191 unique responses – 76% response rate –70 completed by Magnet coordinator –144 completed by librarians –2 completed by coordinator with librarian –19 by coordinator & librarian 3

Internet Access 4 4. Do your nurses have Internet access?

Library Access 5. Do the nurses in your facility have access to a nursing/medical library? –181 (94%) within the medical center complex – 8 (4%) access, but not in complex – 3 (2%) virtual resources – no library or librarian 5

Library Services 6

Bibliographic Databases 7

Point of Care/EBP resources* (some with online books) 8

Online Reference books/databases 9

Full-Text Journal Collections 10 “Others” includes collections in point-of-care products, publisher collections, specific journal titles, and statewide full text packages. Several noted linking to full-text articles from database searches.

Resources for Patient/Family Education 11 “Others” include wide variety: Patient/family resource centers including tailored services, In-house resources, Clinical Pharmacology handouts, Lexi-Comp, Well Connected, and a few others. Many noted patient education resources in point-of-care products.

Librarian’s Role in Magnet Journey 156 (81.7%) reported librarian involvement, including four hospitals where Magnet coordinator said Yes and librarian said No Types of involvement –Typical library services, including teaching & searches –Magnet committee – often only non-nurse –Input on Magnet application Proof reading –Bibliographic citation management –EBP support for guidelines development –Nursing research committee & IRB –Nursing education committee –Web pages; one Evidence Based Nursing Blog 12

Added Value of Medical Librarian 12. If your facility or institution has a medical librarian or access to one, do you perceive that this provides added value for the institution and employees? –96.3% of (184 of 191 hospitals) said yes. –Comments added by 89 hospitals for yes responses, and 2 No/no response (see separate comments list) –Librarians sometimes unaware of what was valued by those in Magnet coordinator role 13

Magnet Coordinator Comments Our librarians are easily accessible and very willing to assist students, staff, and visitors with any questions or concerns. They have really done a nice job of welcoming research issues and expanding resources to meet our needs. We partnered with the librarians to help us set up a file management system for cataloging evidence As employees are focusing on more evidenced-based practice and hospital-based research, medical librarian became a valuable resource to staff. From one without: We don't have access, but are recognizing the value; I have consulted a university librarian and have brought this information to my CNO – that is why we will have this service available in More comments available with report on NAHRS website, 14

Librarian comments – value & role Value of resources and services Involvement of a health sciences librarian on Magnet team Librarian involvement on committees –Education: Staff; Nursing; Patient/Family –IRB (Institutional Review Board) –Nursing Research –Patient Safety Example : “Librarian is a member of multidisciplinary teams, provides in- services, is closely aligned with Medical Education, Human Resource development, CME, and clinical research activities; supports information needs for patient care; manages centralized knowledge-based resource and media services for entire system of 6 hospitals and 10,000+ employees.” 15

Standards recommendations Access to library services meeting MLA standards for hospital libraries 2007 Nursing leadership support for library budget –resources –adequate staffing 24/7 access to: –Adequate computers for Internet/Intranet –Core reference collection, print and/or online –Point-of-care resources 16

More standards recommendations… Nursing / librarian collaboration to select optimal knowledge-based information resources Library support for nursing staff pursuing further education Access to knowledge-based information resources for nursing students/faculty in facility for learning experiences 17

Collaboration : Standards recommendations Involvement of a health sciences librarian on Magnet team Librarian on nursing & interdisciplinary committees –Education: Staff; Nursing; Patient/Family –IRB (Institutional Review Board) –Nursing Research –Patient Safety 18